RC 390
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PLATELETS PHERESIS PATH REDU EA
Indianapolis, IN
See all hospitals reporting RC 390 →Price type
St. Vincent Seton Specialty Hospital, Inc.’s median price of $744 is 88% above the median hospital's median price ($397), higher than 86% of the 1,885 hospitals reporting RC 390. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 59 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Anthem 4090_anthem behavioral medicaid replacement outpatient 20200201 fee schedule · outpatient | $207.26 | $207.26 | $207.26 – $207.26 |
| 2 | Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 3 | Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 4 | Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient | $278.73 | $278.73 | $278.73 – $278.73 |
| 5 | Aetna 2792_aetna medicare replacement ssin 20160101 percent of total billed charges · outpatientfrom % of charges | $287.50 | $453.40 | $40.50 – $1,307 |
| 6 | Humana 8683_humana ppo medicare replacement inpatient svin 20241001 percent of total billed charges · outpatientfrom % of charges | $287.50 | $453.40 | $40.50 – $1,307 |
| 7 | Aetna 3697_aetna svin vfin vhin 20210101 percent of total billed charges · outpatientfrom % of charges | $667.00 | $1,052 | $93.96 – $3,032 |
| 8 | Humana 8830_humana choice care vein 20241001 percent of total billed charges · outpatientfrom % of charges | $701.50 | $1,106 | $98.82 – $3,189 |
| 9 | Humana 8825_humana choice 1 network asin, ecin 20241001 percent of total billed charges · outpatientfrom % of charges | $736.00 | $1,161 | $103.68 – $3,346 |
| 10 | Cigna 8817_cigna ppo choice oap vein 20241001 percent of total billed charges · outpatientfrom % of charges | $747.50 | $1,179 | $105.30 – $3,398 |
| 11 | Humana 8828_humana choice 1 network vfin, nrin 20241001 percent of total billed charges · outpatientfrom % of charges | $747.50 | $1,179 | $105.30 – $3,398 |
| 12 | Cigna 8821_cigna vein 20241001 percent of total billed charges · outpatientfrom % of charges | $759.00 | $1,197 | $106.92 – $3,450 |
| 13 | Humana 8829_humana choice care network vein 20241001 percent of total billed charges · outpatientfrom % of charges | $864.07 | $1,232 | $201.91 – $3,189 |
| 14 | Aetna 9370_aetna ssin 20250101 percent of total billed charges · outpatientfrom % of charges | $793.50 | $1,251 | $111.78 – $3,607 |
| 15 | Aetna 9398_aetna vein 20250101 percent of total billed charges · outpatientfrom % of charges | $793.50 | $1,251 | $111.78 – $3,607 |
| 16 | MultiPlan 1836_multiplan 201120101 percent of total billed charges · outpatientfrom % of charges | $805.00 | $1,270 | $113.40 – $3,660 |
| 17 | Cigna 8818_cigna ppo ecin asin 20241001 percent of total billed charges · outpatientfrom % of charges | $828.00 | $1,306 | $116.64 – $3,764 |
| 18 | Medical Mutual 372_medical mutual of ohio 20120101 percent of total billed charges · outpatientfrom % of charges | $828.00 | $1,306 | $116.64 – $3,764 |
| 19 | UnitedHealthcare 9470_united healthcare vein 20250101 percent of total billed charges · outpatientfrom % of charges | $989.52 | $1,310 | $205.22 – $3,241 |
| 20 | First Health 1843_first health 20120101 percent of total billed charges · outpatientfrom % of charges | $598.50 | $1,315 | $113.40 – $3,600 |
| 21 | Cigna 4584_cigna exclusive ecin asin 20210912 percent of total billed charges · outpatientfrom % of charges | $839.50 | $1,324 | $118.26 – $3,816 |
| 22 | Aetna 5991_work comp aetna 20210101 percent of total billed charges · outpatientfrom % of charges | $885.50 | $1,396 | $124.74 – $4,026 |
| 23 | Cigna 4561_cigna ecin asin 20210912 percent of total billed charges · outpatientfrom % of charges | $897.00 | $1,415 | $126.36 – $4,078 |
| 24 | Medical Mutual 710_medical mutual of ohio 20120101 percent of total billed charges · outpatientfrom % of charges | $897.00 | $1,415 | $126.36 – $4,078 |
| 25 | Cigna 4312_workers comp cigna 20191001 percent of total billed charges · outpatientfrom % of charges | $908.50 | $1,433 | $127.98 – $4,130 |
Last updated: Jan 1, 2026
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